4
 Because Mr. Y. has an incision in his chest, it is uncomfortable for him to breathe normally. He is hypoventilating.  Which type of breathing would be appropriate to teach Mr. Y? Explain how you would teach him.  Explain why you did not choose pursed-lip breathing ro abdominal breathing.

6
What is the rationale for having a patient utilize voluntary coughing?

7
 Mr. Y is suppose to use an incentive spirometer q2h while awake.  What is the purpose of him using this device?

8
 Place mouthpiece in mouth with lips tightly around the mouthpiece  Inhale with slow deep breath to raise the flow rate indicator. Continue inhaling to try to raise the piston to the prescribed volume level. (Tell patient like sucking on straw)  Exhale completely through nose if possible or mouth.  Do this several times every 1-2 hours.

11
 Which of the following patients would the nurse expect incentive spirometer to be used? Choose all that apply. a.First day post- operative abdominal surgery patient b.16 year old with fracture of leg in hospital for casting c.24 y/o woman in post partum unit who had vaginal delivery yesterday d.45 y/o woman on bedrest for past 4 days e.A 62 y/o diabetic patient admitted for wound care treatment of leg ulcers What did you base your decision making?

12
 Any of the patients who had possibility of stasis of secretions in the lungs is a candidate for use of an incentive spirometer.

22
 Measures the flow of air inhaled through a mouthpiece.  Purpose: ◦ Encourages deep breathing by providing visual feedback about their inspiratory ability so they can improve their own breathing efforts.

23
 Place mouthpiece in mouth with lips tightly around the mouthpiece  Inhale with slow deep breath to raise the flow rate indicator. Continue inhaling to try to raise the piston to the prescribed volume level. (Tell patient like sucking on straw)  Exhale completely through nose if possible or mouth.  Do this several times every 1-2 hours.

26
 Which of the following patients would the nurse expect incentive spirometer to be used? Choose all that apply. a.First day post- operative abdominal surgery patient b.16 year old with fracture of leg in hospital for casting c.24 y/o woman in post partum unit who had vaginal delivery yesterday d.45 y/o woman on bedrest for past 4 days e.A 62 y/o diabetic patient admitted for wound care treatment of leg ulcers What did you base your decision making?

27
 Any of the patients who had possibility of stasis of secretions in the lungs is a candidate for use of an incentive spirometer.

31
 Drainage of secretions by gravity from various segments of the lung

32
 Percussion- forceful striking of the skin with cupped hands to mechanically dislodge tenacious secretions from bronchi  Vibration is a technique in which the chest wall is set in motion by oscillating movements of the hands.

33
Indicated for patients who have hypoxemia or inadequate transport of oxygen

37
 Place “No Smoking Oxygen in Use” sign on the door, at head of bed, and on the oxygen equipment  Instruct patient / visitors about precautions  Make sure electrical devices are in good working order to prevent sparks  Avoid materials that generate static electricity  Ground equipment  Make known location / use fire extinguishers

46
 A sensing device is clipped to an area with pulsating arterial blood such as a finger, toe or earlobe.  With this device, a photoelectrical detector records the amounts of light transmitted or reflected by deoxygenated versus oxygenated hemoglobin picking up light signals registered by the pulsations.